Nuclear rx IV admin at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$791.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,319.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$48.77 with United Healthcare Community Plan for Families vs $1,247.65 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $48.77 | ↓ -94% |
| Highmark BCBS of PA | Medicare | $89.45 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $145.96 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $145.96 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $149.41 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $156.53 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $167.41 | ↓ -79% |
| Prime Net | Managed Medicare | $217.63 | ↓ -73% |
| Aetna | Medicare | $224.16 | ↓ -72% |
| Cigna | Medicare | $225.67 | ↓ -71% |
| Geisinger | Medicare | $225.67 | ↓ -71% |
| United Healthcare | Medicare | $229.96 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $263.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $263.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $343.87 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $373.64 | ↓ -53% |
| Capital Blue Cross | Commercial | $417.37 | ↓ -47% |
| Keystone Health Plan | Commercial | $417.37 | ↓ -47% |
| Capital Blue Cross | CHIP | $417.37 | ↓ -47% |
| Prime Net | ACO/Legacy Commercial | $540.79 | ↓ -32% |
| Aetna | ACO | $544.75 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $629.16 | ↓ -21% |
| Aetna | Commercial | $633.12 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $711.90 | ↓ -10% |
| UPMC Health Plan | CHIP | $756.11 | ↓ -4% |
| Highmark BCBS of PA | Commercial | $757.42 | ↓ -4% |
| Geisinger | Commercial | $863.68 | ↑ +9% |
| Wellspan Population Health | Commercial | $923.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $923.30 | ↑ +17% |
| United Healthcare | Commercial | $970.78 | ↑ +23% |
| Prime Net | FH-Medical Rental | $982.65 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,121.15 | ↑ +42% |
| Cigna | Commercial | $1,247.65 | ↑ +58% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx IV admin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $791.40 | $48.77 – $1,121.15 |
| UPMC Community Osteopathic | Harrisburg | $791.40 | $48.77 – $1,121.15 |
| UPMC Hamot | Erie | $710.40 | $109.74 – $357.04 |
| UPMC Hanover | Hanover | $791.40 | $48.77 – $373.64 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $126.42 – $357.04 |
| UPMC Lititz | Lititz | $791.40 | $48.77 – $373.64 |
| UPMC Magee | Pittsburgh | $763.20 | $110.79 – $357.04 |
| UPMC McKeesport | Mckeesport | $486.60 | $110.79 – $357.04 |